Pregnancy is not only a great time to expect a baby, but also the appearance of a lot of problems and exacerbations of chronic diseases. Often a pregnant woman is faced with the appearance of such an ailment as condylomatosis . Let’s consider this disease in more detail.
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Types of growths
Warts come in different shapes and sizes. Their color can vary from pale pink to gray. At the initial stage of the disease, condylomas are separated from each other and look like a single neoplasm. When time passes and proper treatment does not occur, these growths combine and form large lesions that look like cauliflower. Growths are divided into two types:
- Flat. These warts grow on the cervix. They are very small and require a microscope to view them. This feature makes it difficult to diagnose at an early stage. That is why the risk of developing cancerous tumors increases.
- Pointed. The most common type of growths. They can be found in the vagina and in the clitoris, anus and labia. Also, their location can be in the groin, on the hips and buttocks.
Causes
A woman may not be aware of the presence of the virus in the body for a very long time. The decrease in immunity that accompanies pregnancy can trigger the development of genital warts. For a long time, the virus remains inactive and lives on the mucous genital organs, as well as in saliva and urine. That is why infection occurs through microtrauma during intercourse or a kiss.
Additional factors provoking the activity of the virus are as follows:
- Taking antibacterial drugs.
- Harmful food.
- Prolonged stress.
- Hypothermia of the body.
- Overwork and excessive exercise.
During pregnancy, immunity decreases, which is why the latent virus is most likely activated at this time. In order to timely identify the disease, pregnant women need to systematically attend gynecological examinations. If it is confirmed that the virus is in the body, the doctor will prescribe a special treatment that will not harm either the mother or the baby.
The danger of condyloma during pregnancy
If infection is detected during the period of bearing a child, the doctor will monitor the growth of genital warts and, if necessary, treat them. In some cases, warts are dangerous:
- If the condyloma increases in size and interferes with the proper process of urination. Very large growths block the entrance to the vagina. In this case, the doctor performs a caesarean section.
- Growths that are on the vaginal walls can lead to infection of the child and cause condylomatosis of the larynx.
Are not dangerous warts, which are located in the anus or labia. That is, those that are not on the mucous membrane.
Symptoms and methods of diagnosis
During pregnancy , genital warts most often occur . The symptoms of these neoplasms are:
- Burning or itching in the genital area.
- Increased burning sensation during urination.
- The assumption of a foreign body in the vagina.
With a large-scale growth of neoplasms, discharge with a sharp unpleasant odor appears. If the integrity of the genital warts is violated, irritation and redness are formed, which can provoke bleeding. During pregnancy, only the attending physician can make decisions, treat or wait for childbirth.
Treatment Methods
During pregnancy, the female body is very vulnerable, so the doctor selects an individual scheme. The therapist chooses a course of treatment taking into account all the risks. If warts are formed only in the anus, then the removal is carried out after childbirth. The same decision will be made if the location of the growths on the outside of the genitals.
If the anxiety of a pregnant woman increases, then removal is prescribed by the following means:
- acid solutions;
- laser removal ;
- freezing with liquid nitrogen;
- exposure to radio waves;
- surgical removal with a scalpel.
Comprehensive treatment of genital warts occurs in conjunction with antiviral drugs. Basically, pregnant women are prescribed rectal suppositories. If removal of warts is envisaged, then this can be done as soon as 4 months of pregnancy begins. The ideal time for treatment is the last trimester. At this time, the child is already almost formed and therapy will not affect its development in any way.
The impact of the virus on the child and mother
It is known that many diseases are associated with the transmission of infection from mother to child during pregnancy and delivery. These are serious illnesses that can adversely affect the respiratory system.
The most dangerous is laryngeal papillomatosis . In children aged 2 to 5 years, growing papillomas reduce the lumen of the larynx, thereby making it difficult for oxygen to enter the lungs.
Possible asphyxia of the child from a detached balancing papilloma, as well as infection of the trachea and bronchi. Even considering this, the presence of genital warts in the anus or genitals is not the main symptom for a caesarean section. The operation cannot be performed just to prevent the transmission of the infection to the baby.
Is it possible to give birth with condylomatosis?
Of course, no one will cancel childbirth because of this disease. But it is worth knowing that in the presence of condylomatosis in a pregnant woman, control increases, and each doctor’s appointment is accompanied by a measurement of the size of the growths. If they grow, then it is necessary to decide whether to remove warts now or in the postpartum period.
It is better to leave all manipulations for a while after childbirth. But if infection of the child is unavoidable, then a council of doctors may decide to perform a caesarean section.
A woman must understand that this is not the choice of doctors, it is the need to protect the child from condylomatosis.
Basically, childbirth takes place in a natural way in the presence of growth. Doctors do not panic if the growth is in the anogenital area. Such childbirth is considered safe for the fetus.
Caesarean section is necessary for those women whose genital warts prevent the passage of the fetus, and can cause bleeding. Bleeding is life threatening.
High-quality consultation of pregnant women should be throughout the entire period in order to exclude the growth of the focus of infection.
Treatment
The doctor examines the feasibility of treatment and possible methods that will not aggravate the child’s condition. Warts do not always need to be removed during pregnancy. This can be done after the delivery is over.
If warts are located in the anal region, they can be removed before delivery. It is worth noting that small growths that are located on the mucous membrane of the genital organs cannot be removed, since a variety of manipulations can provide a miscarriage.
The cervical mucosa is the main place where warts can infect a baby. In this case , the doctor removes the growths with a surgical loop. This method is considered the most gentle for a pregnant woman and for a child.
Remove growths in pregnant women only after reaching the period of 14 weeks. The patient must follow all the doctor’s instructions to avoid relapses.
High-quality therapy is carried out to increase immunity. Only a doctor can prescribe medications. Self-medication can lead to premature birth or problems in the baby’s health. It must be remembered that all the drugs that a woman takes, a small proportion affect the fetus.
That is why you need to know the correct dosage and duration of use of drugs. Immuno-boosting drugs can be replaced with fruits and vegetables. This can only be on condition that the vitamin complex can suppress the growth of the virus.
Even if a pregnant woman tends to traditional medicine, she should be abandoned. This is due to the fact that the bulk of the funds are cauterizing. This can lead to premature birth or miscarriage. In order to use folk remedies, you need to discuss options with your doctor.
During pregnancy, cytotoxic drugs are contraindicated. Namely, podophyllotoxin and podophyllin. They can be detrimental to the development of pregnancy.
You can not use such drugs during pregnancy that have an antiviral effect: Reaferon, Viferon, Viferon. Such drugs can become dangerous for early pregnancy.
Pregnant women are prescribed rectal suppositories that contain immunoglobulin. They are effective and harmless for both mother and child.
Basically, in women after childbirth, warts disappear on their own. Therefore, treatment and surgical intervention is excluded after examining the skin cover, where there were neoplasms.
Prevention of condylomatosis
Preventive actions, as with any other diseases, are very simple. It is necessary to avoid stress, eat right, control the state of the immune system, give up promiscuity, lead an active and healthy lifestyle that completely eliminates bad habits.
A woman needs to visit a gynecologist at least 2 times a year. If you follow this rule, you can timely identify various diseases.
At what period of pregnancy the woman was not, if symptoms of condylomatosis are detected, it is necessary to consult a specialist for diagnosis and treatment. If the disease is detected at an early stage, this increases the chances of a quick recovery, and also reduces the chances of infection of the child.